Individual provider Active NPI

Carmelita Ann Matt, MSW, SWLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1215781083
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-SWLC-LIC-70496 Issued in MT
Practice address
1724 Fairview Ave Ste a
Missoula, MT 59801-7873
Phone
(406) 214-3810
Fax
(406) 720-7806
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-SWLC-LIC-70496 MT Primary

Addresses

Primary practice location

1724 Fairview Ave Ste a
Missoula, MT 59801-7873

Mailing address

PO Box 1144
St Ignatius, MT 59865-1144
Phone (406) 214-1426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-SWLC-LIC-70496MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sunflower Counseling, LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

1724 Fairview Ave
Ste A
Missoula, MT 59801
Phone (406) 214-3810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1215781083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598651144",
            "telephone_number": "406-214-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 FAIRVIEW AVE STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017873",
            "telephone_number": "406-214-3810",
            "fax_number": "406-720-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATT",
        "first_name": "CARMELITA",
        "middle_name": "ANN",
        "credential": "MSW, SWLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-70496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.